Diverticulitis

Diverticulitis

Recently Answered

  • 1 Answer
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    A Dr. Ravi P. Kiran, MD, MS, Colorectal Surgery, answered on behalf of Columbia University Department of Surgery

    Since a partial colectomy removes the segment of colon affected with diverticulitis, removal of that segment (partial colectomy) prevents future attacks of diverticulitis in that particular segment.

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    A Dr. Ravi P. Kiran, MD, MS, Colorectal Surgery, answered on behalf of Columbia University Department of Surgery

    If you have an acute episode of diverticulitis that does not respond to non-operative treatment; have complications such as perforation, abscess or bleeding due to diverticular disease or diverticulitis; or develop repeated episodes of diverticulitis requiring antibiotics and affecting your quality of life, surgery may be an option.

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    A Dr. Ravi P. Kiran, MD, MS, Colorectal Surgery, answered on behalf of Columbia University Department of Surgery

    Surgery can usually be performed with laparoscopy (mini incisions). During the procedure your surgeon uses a video-monitor to perform a ‘laparoscopic colectomy’ using long instruments introduced through small incisions on the outside of your abdomen to remove the affected segment of your colon and rejoin the remaining healthy portions back together.

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    A Dr. Ravi P. Kiran, MD, MS, Colorectal Surgery, answered on behalf of Columbia University Department of Surgery

    For severe attacks of diverticulitis, when complications develop or when individuals have repeated episodes of diverticulitis requiring antibiotics, surgery may be an option. Surgery usually entails removal of the portion of the colon (partial colectomy) that has been affected with diverticulitis.

  • 2 Answers
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    A Dr Lawrence Friedman, MD, Gastroenterology, answered
    Diverticular disease is a gastrointestinal (GI) disease that can cause nonspecific symptoms similar to those of irritable bowel syndrome (IBS). Small, finger-like sacs or pouches -- known as diverticula -- may protrude off the colon's inner lining, where the blood vessels enter the colon, piercing its walls and causing areas of weakness. Although the condition is most common after age 50, younger people occasionally develop diverticula. When a diverticulum becomes inflamed or infected, the condition is called diverticulitis. The symptoms of diverticulitis are much more intense than those of IBS and include severe left lower abdominal pain, chills, fever, and an elevated white blood cell count.
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    A Dr Robynne Chutkan, MD, Gastroenterology, answered
    Diverticulosis is a condition where the colon develops little pockets (potholes) as a result of a diet that's relatively low in fiber and high in animal products. For most of my patients with diverticulosis, I recommend 1 or 2 heaping tablespoons of ground psyllium husk to help them reach their fiber intake target goal. Fiber cleans out the colon and the colon is one of the major routes for toxins to be expelled from the body. Having a good bowel movement is really the ultimate detox.

    When you reach that magic number of 35 grams of fiber, some amazing things start to happen. In addition to magnificent stools that drop effortlessly into the bowl, your risk for a lot of the other things that kill Americans -- many types of cancer, heart disease, diabetes and stroke -- all drop too. An apple (or two) a day really does keep the doctor away.
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    ASwedish answered
    Once colon pockets have developed in the colon there is no guaranteed way to prevent rare future complications from occurring. However, increasing dietary fiber and taking a fiber supplement is the best way to help reduce the likelihood of future problems.

    In those patients who are having repeated cases of diverticulitis or bleeding, surgery to remove the affected part of the colon is usually recommended.
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    ASwedish answered
    Complications of diverticulitis can include complete colon perforation, fistulas (tunnels) to the bladder or vagina, and narrowing or blockage of the intestine. Surgery is almost always required in these serious cases.

    Bleeding typically does not occur with diverticulitis but can occur from one of the non-inflamed pockets (diverticulosis). Most bleeding from diverticulosis stops on its own, but blood transfusions and surgery are sometimes required.
  • 4 Answers
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    Diet for Diverticulosis:

    A high fiber diet and dietary fiber supplementation is recommended to prevent diverticular formation and recurrence of symptomatic diverticulosis. Recommended dietary allowance for males over 30 years of age is 30-38 g/day, and for females over 30 years of age, it is 21-25 g/day.

    Previously there was a concern that indigestible nuts, seeds, corn, and popcorn would irritate a diverticulum and possibly result in diverticulitis and increase perforation risk. However, there is no data to support this practice. A large 18-year prospective study showed that nut, corn, and popcorn consumption did not increase risk for diverticulitis or diverticular complications (bleeding) but may have been protective against diverticulitis.

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    A Dr. Mehmet Oz, MD, Cardiology (Cardiovascular Disease), answered
    Meatless diverticulitis diet

    Going vegetarian can help improve many health conditions, but will it make a difference in diverticulitis? In this video, Dr. Oz and Dr. Linda Lee discuss the connection between diet and diverticulitis.